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Allen Brenzel, a child psychiatrist in Lexington, Ky., can point to the moment he knew his state had a drug problem. A few years ago, Brenzel was working as a consultant for a residential treatment facility for kids under state custody. During his time there, he became acutely aware that many of the children in the program were on prescriptions for psychotropic medications -- and lots of them. “It was not uncommon for me to see children as young as 10 or 12 on three or four psych meds,” Brenzel says. “That became more the norm than the exception.” But it was seeing a little boy no older than 5 who was on four different psychotropic drugs that still stands out today in the psychiatrist’s mind. “I remembered thinking you shouldn’t be on more medications than your age.”